2021-11-10T09:46:58-08:00 2021-03-31 Brown Ewing & Co PA 308 Highland Park Cove Ridgeland MS 39157 990 2020-04-01 640732896 Family Health Center Inc FAMI 6014253033 117 S 11th Avenue Laurel MS 39440 Dr Rashad Ali Chief Executive Officer 6014253033 2021-10-28 Dr Rashad Ali XXX-XX-XXXX Donald R McWilliams P01452643 6013535423 2021-11-10 3 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z Dr Rashad Ali 117 S 11th Avenue Laurel MS 39440 11397578 false X N/A X 1986 MS To provide patients with the highest quality of care/services, including basic primary and preventive medical care, vision, dental, OB/GYN, WIC services, and hospitalization. 12 12 171 1 0 0 4110710 6589716 4620449 4123018 736 1685 231921 683159 8963816 11397578 0 0 6064543 6291708 0 0 2621959 3873704 8686502 10165412 277314 1232166 4494289 6301503 1373974 1934661 3120315 4366842 To provide patients with the highest quality of care/services, including basic primary and preventive medical care, vision, dental, OB/GYN, WIC services, and hospitalization. false false 4987436 0 4807797 Provide healthcare services to low-income individuals, including basic primary and preventive medical care, dental, OB/GYN, WIC services, and hospitalization. 208840 0 0 WIC-Program provides nutritional food, education and medical services to low-income women, infants and children 132433 0 0 Mississippi Qualified Health Center Program - provides prenatal, dental and mental health services to women of child-bearing age 5328709 true false false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false true 59 0 171 true false false false false false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true true false MS X Sherrin Roberts 6014253033 117 S 11th Avenue Laurel MS 39440 George Barnes Board Member 2.00 X 0 0 0 Joan Young Board Secretary 2.00 X 0 0 0 Angela Carmichael Board Member 2.00 X 0 0 0 Lee Farmer Board Member 2.00 X 0 0 0 Trina Heidelberg Board Vice President 2.00 X 0 0 0 Dyann Mizell Board President 2.00 X 0 0 0 Alice Bursey Johnson Board Member 2.00 X 0 0 0 Barbara Pruitt Board Member 2.00 X 0 0 0 Howard Lamar Lofton Board Member 2.00 X 0 0 0 Cecil Ashford Board Member 2.00 X 0 0 0 Prince Staten Board Member 2.00 X 0 0 0 Yolanda DaLaCruz Board Member 2.00 X 0 0 0 Sherrin A Roberts CFO 40.00 X 69970 0 3317 Dr Rashad Ali CEO/MD 40.00 X 544411 0 33620 Fawwaz Alotaibi Dentist 36.00 X 155869 0 10728 Ronald Henry Pharmacy Director 40.00 X 143691 0 9415 Dr Terry Meadows Family Nurse Physician 40.00 X 108161 0 4466 Dr Bernard DeAsis Chief Medical Officer 40.00 X 267712 0 33680 Dr Burgese Turel Internal Medicine Physician 40.00 X 302107 0 20775 1591921 0 116001 6 false true false Greenway Health LLC 4301 W Boy Scout Blvd Ste 800 Tampa FL 33607 Medical Records 219862 Converge One Inc 10900 Nesbit Avenue South Bloomington MN 55437 IT Services 268056 Hagwood and Tipton PC 213 Draperton Drive Ste A Ridgland MS 39157 Legal Services 180010 Energy System Southeast LLC 3235 Veteran Circle Birmingham AL 35235 Commercial Generator 134944 4 5654761 934955 6589716 Health care services 621400 4123018 0 0 4123018 1685 0 0 17324 17324 17324 17324 Other Income 900099 665835 665835 0 0 665835 11397578 4807862 0 0 1676299 977540 698759 0 3412397 2088159 1324238 0 146521 62334 84187 0 692726 315410 377316 0 363765 183364 180401 0 545431 0 545431 0 40460 0 40460 0 304789 247782 57007 0 15253 3747 11506 0 1499694 1149311 350383 0 558841 168184 390657 0 513930 109809 404121 0 37654 1657 35997 0 25565 13211 12354 0 26495 3163 23332 0 225630 0 225630 0 54954 0 54954 0 Miscellaneous 25008 5038 19970 0 10165412 5328709 4836703 0 491871 2185171 126219 161667 534231 423507 33597 39104 7351071 3859017 3308371 3492054 4494289 6301503 435764 436790 63238 85119 711199 1278719 163773 134033 1373974 1934661 X 3120315 4366842 3120315 4366842 4494289 6301503 1232166 14361 X X false true X true true true X 0 3619971 3509643 3624197 4110710 4843162 19707683 0 0 3619971 3509643 3624197 4110710 4843162 19707683 0 19707683 37260 36088 38504 736 19009 131597 0 3986253 4397669 4691963 4797926 17873811 37713091 37713091 0.52260 0.50960 X 0 0 0 Pt II Ln 10 Other Income Part II, Line 10 Description: Vending 2016: 13879. 2017: 17117. 2018: 17117. 2020: 7786. Description: Healthcare Services 2016: 3885152. 2017: 4030854. 2018: 4441328. 2020: 4123203. Description: Other Fees 2016: 87222. 2017: 349698. 2018: 233518. 2020: 666937. 174238 174238 4420879 3859017 561862 2755954 2755954 3492054 Salaries Payable 34691 Payroll taxes payable 64778 Other liabilities 9035 Retirement payable 25529 134033 X 11397578 11397578 11397578 10165412 10165412 10165412 Pt X, Line 2 The Organization is exempt from corporate Federal income taxes under Section 501(c)(3) of the Internal Revenue Code and from state income taxes. Therefore, no provision has been made for Federal or state corporate income taxes in the accompanying financial statements. The Organization has analyzed its tax positions taken for filings with the Internal Revenue. It believes that its tax filing positions will be sustained upon examination and does not anticipate any adjustments that would result in a material adverse effect on its financial condition, results of operations, or cash flows. The Organization's federal and state income tax returns for 2018, 2017, and 2019 are subject to examination by the federal, state and local taxing authorities, generally for three years after they are filed. Pt XI, Line 4b Rebate for client Pt XII, Line 4b Client refunds false false false false false false false false false Dr Rashad Ali 544411 0 0 0 0 0 23127 0 10493 0 578031 0 0 0 Fawwaz Alotaibi 155869 0 0 0 0 0 0 0 10728 0 166597 0 0 0 Ronald Henry 267712 0 0 0 0 0 31753 0 1928 0 301393 0 0 0 Dr Bernard DeAsis 302107 0 0 0 0 0 19500 0 1275 0 322882 0 0 0 Dr Burgese Turel 302107 0 0 0 0 0 19492 0 1228 0 322827 0 0 0 Pt XII, Line 2c FHC does not have an internal audit department. Pt XII, Line 2c However, the full Board of Directors approves selection Pt XII, Line 2c of auditors and approves final financial statements Pt XII, Line 2c with recommendations from the Board Finance Committee. Pt VI, Line 12c The Conflict of Interest Questionnaire/Disclosure Form Pt VI, Line 12c is completed annually. Pt VI, Line 15a The CEO, Executive Director, and top management Pt VI, Line 15a official's compensation is determined by the Board of Pt VI, Line 15a Directors and approved by the HRSA Project Officer. Pt VI, Line 15b Employee salaries are approved by the CEO and the CFO. Pt VI, Line 18 Form 990 is filed with the IRS and available Pt VI, Line 18 through government records. Financial statements are Pt VI, Line 18 uploaded to the Federal Audit Clearinghouse and are Pt VI, Line 18 available to the public through that entity. Pt VI, Line 11b FHC has hired Brown, Ewing & Co. to prepare IRS Form 990 Pt VI, Line 11b based on information contained in its financial records and Pt VI, Line 11b annual financial statement audit. The CFO reviews the Pt VI, Line 11b draft report and communicates results to the CEO. The CEO Pt VI, Line 11b approves final submission of IRS Form 990. Pt VI, Line 19 Form 990 is filed with the IRS and available through Pt VI, Line 19 government records. Financial statements are uploaded to Pt VI, Line 19 the Federal Audit Clearinghouse and are available to the Pt VI, Line 19 public through the entity.